Use this url to cite publication: https://hdl.handle.net/20.500.12512/97301
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Mesenteric occlusion: urgent surgery or first urgent interventional angiography for all patient’s without peritonitis / Linas Venclauskas, Ruta Macionyte, Modestas Tylenis, Saulius Andriuskevicius
Type of publication
Tezės kitoje duomenų bazėje / Theses in other database (T1c)
Author(s)
Title
Mesenteric occlusion: urgent surgery or first urgent interventional angiography for all patient’s without peritonitis / Linas Venclauskas, Ruta Macionyte, Modestas Tylenis, Saulius Andriuskevicius
Publisher (trusted)
Lietuvos chirurgų asociacija |
Is Referenced by
Date Issued
Date Issued |
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2018-05-10 |
Extent
p. 121-122.
Is part of
Lietuvos chirurgija : 9-asis Baltijos šalių chirurgų asociacijos kongresas : tezės = Lithuanian surgery : 9th Congress of Baltic Association of Surgeons : abstracts : 10-12 May 2018, Klaipėda, Lithuania. Vilnius : Lietuvos chirurgų asociacija, 2018, t. 17, Nr. 1-2.
Version
Originalus / Original
Description
54.
Field of Science
Abstract
Background. The mortality rate of acute mesenteric ischemia (AMI) is from 70% to 85% and patient‘s survival depends of early occlusion diagnosis and urgent treatment. The main mesenteric artery occlusion treatment is urgernt surgery and/or interventional angiography [1]. The main reason of patient‘s mortality of AMI is general organism intoxication of long stay intestinal necrosis in abdominal cavity [2]. Recommendations of AMI treatment depends of presence of peritonitis. If there is AMI with peritonitis, patients need urgent surgery, if there is AMI without peritonitis, patients need urgernt interventional angiography with surgery or only interventional angiography [3]. The main problem, that intestinal necrosis is diagnosed for half of patients during “second look” operation after interventional angiography [4]. It could be a reason of high mortality and complications rate that intestinal necrosis stay in abdominal cavity after interventional procedures during 6–12 hours when time of “secend look” operation will come. e aim of study is to evaluate which diagnostic criterions could identify intestinal necrosis for patient‘s with AMI and influence a selection of different acute mesenteric occlusion treatment. Materials and Methods. Retropsective analysis of patient‘ s case–histories who were treated of AMI in Lithuanian University of Health Sciences, Kaunas Clinics, Department of Surgery from 2006 to 2017 years. The diagnostic preoperative parameters such as: WBC, CRP, serum L- lactate, base excess (BE) and blood pH were analyzed. These parameters were analyzed in patient’s admission time to urgent care department. The duration of disease (since beginning of patient’s complains to arrival to hospital) was analyzed also. Results. Two hundred eighty patients (170 females and 110 males) were included in the study. The mean age of patients was 77.8±10.4 y. [...].
Type of document
type::text::conference output::conference proceedings::conference paper
ISSN (of the container)
1392-0995
Other Identifier(s)
(LSMU ALMA)990000954130107106
Coverage Spatial
Lietuva / Lithuania (LT)
Language
Anglų / English (en)
Bibliographic Details
3